Patient Counselling is needed for
Better patient understanding to their illness and role of medication.
Improve medication adherence.
Improve dosage regimen adherence.
More effective Drug treatment.
Reduce incidence of adverse drug effect and unnecessary healthcare cost.
ADR reporting.
Improve quality of life for patient.
Raising image of Pharmacist & its profession.
It is a very important topic in healthcare. Pharmacists must be aware of few important counselling points for every medicine. Community Pharmacist must be aware of counselling.
Patient medication adherence, Medication adherence, Causes of medication non-adherence, Problems linked with Medication Non-adherence, Factors affecting medication adherence, Patient related factors, Social and Economic factor, Disease related factor, Health care provider related factors, Therapy related factors, pharmacist role in the medication adherence, role of pharmacist in the medication adherence, monitoring of patient medication adherence, Direct method, Indirect method
Patient counselling ,steps of patient ppunseling,communication skill in patie...MerrinJoseph1
Dr.Merrin,Joseph,Department of pharmacy practice,Community Pharmacy , Pharm D Second year, patient counseling,definition,outcome/scope of patient counseling,steps in patient counseling,communication skill in patient couseling,verbal skills and non-verbal skills.
Barriers of patient counseling in a community pharmacy and Strategies to over...MerrinJoseph1
Second Pharm -D , Patient Counseling Barriers and Strategies to overcome the barriers-pharmacist specific barriers,patient specific barrires and system based barriers and how to overcome the barriers for effective patient counseling in a community pharmacy.
It is a very important topic in healthcare. Pharmacists must be aware of few important counselling points for every medicine. Community Pharmacist must be aware of counselling.
Patient medication adherence, Medication adherence, Causes of medication non-adherence, Problems linked with Medication Non-adherence, Factors affecting medication adherence, Patient related factors, Social and Economic factor, Disease related factor, Health care provider related factors, Therapy related factors, pharmacist role in the medication adherence, role of pharmacist in the medication adherence, monitoring of patient medication adherence, Direct method, Indirect method
Patient counselling ,steps of patient ppunseling,communication skill in patie...MerrinJoseph1
Dr.Merrin,Joseph,Department of pharmacy practice,Community Pharmacy , Pharm D Second year, patient counseling,definition,outcome/scope of patient counseling,steps in patient counseling,communication skill in patient couseling,verbal skills and non-verbal skills.
Barriers of patient counseling in a community pharmacy and Strategies to over...MerrinJoseph1
Second Pharm -D , Patient Counseling Barriers and Strategies to overcome the barriers-pharmacist specific barriers,patient specific barrires and system based barriers and how to overcome the barriers for effective patient counseling in a community pharmacy.
Patient counselling, Steps involved in patient counseling, need of counselling, Special cases that require the pharmacist, Patient counseling, Assessment and Monitoring of Counselling, counseling, Definition of patient counseling
Drug Information Services, Drug information Sources, Illegal DIC, Drug Information Bulletin, Classification of scientific literature, services offered bu drug information services
Basic introduction to patient counselling for the clinical pharmacy services. Educating the patient on their disease, medication and lifestyle for better patient care and quicker recovery.
Introduction to daily activities of clinical pharmacist.
Drug therapy monitoring,
Medication chart review
Clinical Progress
Pharmacist intervention
Detection and management of ADRs
A Ward round is a visit made by a medical practitioner, alone or with a team of health care professionals and medical students to hospital in-patients at their bedside to review and follow-up the progress in their health.
Usually at least one ward round is conducted
everyday to review the progress of each
patient outcome.
Pharmacist’s participating in medical ward
rounds promotes health care
Participation of the Pharmacists in ward
rounds in various practice settings helps to
provide rational drug use.
Patient counseling is a process wherein pharmacist implements face-to-face interaction with the patient to provide information, orally or in written form, on directions of use & advice on side effects to help them to use their medications appropriately
what is patient counselling, objective of patient counselling, steps in patient counselling, patient counselling contents, process, conclusion, communicative skill for effective counselling, verbal communication, non verbal communications
Patient counselling, Steps involved in patient counseling, need of counselling, Special cases that require the pharmacist, Patient counseling, Assessment and Monitoring of Counselling, counseling, Definition of patient counseling
Drug Information Services, Drug information Sources, Illegal DIC, Drug Information Bulletin, Classification of scientific literature, services offered bu drug information services
Basic introduction to patient counselling for the clinical pharmacy services. Educating the patient on their disease, medication and lifestyle for better patient care and quicker recovery.
Introduction to daily activities of clinical pharmacist.
Drug therapy monitoring,
Medication chart review
Clinical Progress
Pharmacist intervention
Detection and management of ADRs
A Ward round is a visit made by a medical practitioner, alone or with a team of health care professionals and medical students to hospital in-patients at their bedside to review and follow-up the progress in their health.
Usually at least one ward round is conducted
everyday to review the progress of each
patient outcome.
Pharmacist’s participating in medical ward
rounds promotes health care
Participation of the Pharmacists in ward
rounds in various practice settings helps to
provide rational drug use.
Patient counseling is a process wherein pharmacist implements face-to-face interaction with the patient to provide information, orally or in written form, on directions of use & advice on side effects to help them to use their medications appropriately
what is patient counselling, objective of patient counselling, steps in patient counselling, patient counselling contents, process, conclusion, communicative skill for effective counselling, verbal communication, non verbal communications
1.Definition and benefits of patient counselling
2.Stages of patient counselling - Introduction, counselling content, counselling process and closing the counselling session
3.Barriers to effective counseling - Types and strategies to overcome the barriers
Understand the need for patient counselling
Identify outcomes of effective patient counselling
. Discuss the verbal and non-verbal communication skills
required by a good counsellor. Better patient understanding of their illness and the role of medication in its treatment.
The availability of and rational use of medicines are critical for a successful therapeutic outcome. Though rapid developments in science and technology have led to easy understanding of etiology and pathophysiological basis of various diseases and development of new molecules, many times clinicians fail to achieve the desired therapeutic goals. One of the major reasons for this can be the patient non-compliance or partial compliance towards the prescribed treatment (World Health Organization, 2003). Patient compliance is defined as the adherence of a patient towards the prescriber‘s instructions.
It implies an understanding of how the medicine is to be used, as well as a positive behavior in which the patient is motivated sufficiently to use the prescribed treatment in the manner intended because of a perceived self-benefit and a positive outcome (e.g. enhanced quality of life and well being).
Patient counseling refers to the process of providing information, support, and guidance to patients to help them make informed decisions about their health. The goal of patient counseling is to empower patients to take an active role in managing their health, which can lead to better health outcomes. Patient counseling can cover a wide range of topics, from medication management and lifestyle changes, to understanding medical conditions and treatments.
Communication is the transfer of information meaningful to those involved. Interactive communication is a process that facilitates a dialogue to provide multiple opportunities to accurately interpret meaning and respond appropriately. An interactive model is similar to a discussion rather than a lecture.
For example, using an interactive model, a patient may be asked what they know about their medications. As the patient describes aspects of his or her medication therapy, the pharmacist can then respond to fill in knowledge gaps, correct misinformation and verify patient understanding, thus eliminating or minimizing misunderstandings.
Interactive communications are effective for many interpersonal situations, but are especially useful when working with patients to assure appropriate use of medications.
what is patient counselling?
objectives
features of effective counselling
why pharmacist should counsel?
effects of poor counselling
steps involved in patient counselling
PH 5.1 communicate with patient on all aspects of drug use
PH 5.2 Communicate with patient on proper use of drug /delivery device & storage of medicine PH 5.3 Communicate the patient to motivate adherence to treatment in chronic diseases PH 5.5 Communicate with patient regarding cost of treatment
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Classify the agents used for general anesthesia
Describe the mechanism of action, pharmacokinetics, therapeutics and adverse effects and drug interactions of different anesthetic drugs
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2. What is patient counselling?
Two way process.
Exchange of information.
Vital information about medicine.
Verbal and /or written
3. What is patient counselling?
Individual and/or in groups
Personally as well as telephonically.
Achievement of therapeutic goals
Further design ,select, implement, evaluate & modify health
interventions.
4. Objective of patient counselling
Better patient understanding to their illness and role of medication.
Improve medication adherence.
Improve dosage regimen adherence.
More effective Drug treatment.
5. Objective of patient counselling
Reduce incidence of adverse drug effect and unnecessary healthcare
cost.
ADR reporting.
Improve quality of life for patient.
Raising image of Pharmacist & its profession.
6. PPR 2015 guidelines on patient
counselling
Only registered pharmacist are involved in counselling.
Facilities are provided for confidential conversation and patient
confidentiality is maintained.
Patient information leaflets are provided.
Proper documentation is made.
7. PPR 2015 guidelines on patient
counselling
Unnecessary counselling should be avoided.
In every consultation benefit to the patient is of foremost.
All registered pharmacists engaged in the case should be frank with the
patient and his attendants.
Utmost punctuality should be observed by a registered pharmacist in
making themselves available for counselling.
8. Patient counselling
Provide counselling to engage in direct consultation with the patient or
his/her representative.
Remember, the right patient taking the right drug at the right dose at the
right time, BUT in the wrong way can still compromise drug effectiveness
and patient safety.
9. Steps in Patient counselling
The structure of the counseling session is divided into four groups:
Introduction of the session.
Content of the session.
Process followed.
Conclusion of the session.
10. Review the patient record prior to counselling.
Explain the purpose of counselling session.
Conduct an appropriate patient counselling introduction by self and
patient.
Obtain pertinent initial drug related information. E.g.: drug allergies,
and other medications.
Patient counselling - Introduction
11. Warn the patient about taking other medications including OTC drugs,
herbals, or botanical drugs and alcohol which could inhibit or interact into
the prescribed medication.
Determines whether the patient has any other medical conditions that
could influence the effects of their drug or enhance the likelihood of an
ADR.
Asses the patient understandings of reason for therapy.
Patient counselling - Introduction
12. Patient counselling - Content
Patient counselling should include information on who, what,
where, when and how
16. Patient counselling- Process
• Provide accurate information.
• Use language that the patient is likely to understand.
• Use the appropriate counselling aids to support counselling.
• Present the fact and order in a logical order.
• Maintain control & direction of the counseling session.
• Analyze for additional information.
18. Patient counselling- Conclusion
• Verify the patient understanding via feedback.
• Summaries by acknowledging or emphasizing key points of
information.
• Provide an opportunity for final concerns or questions.
• Help the patient to plan, follow up and next consecutive
steps.
19. Communicative skills for effective
counselling
Communicative skills are subdivided into two types
1. Verbal communication
2. Non verbal communication
21. Verbal communication
• A key component of interactive communication is using
open‐ended questions.
• Open‐ended questions are questions that start with who, what,
where, when, how and why
25. Barrier of effective communication
Environmental barrier
Semantics
Negative attitude
Time barrier
26. Barrier of effective communication
Environmental barrier
• lack of privacy and furniture between patient and
pharmacist
• It comes under physical barrier
27. Barrier of effective communication
Semantics
• relate to meaning word or symbol in
interpersonal communication.
• Word or symbol can have multiple meaning,
therefore effective patient communication
required to use word carefully.
28. Barrier of effective communication
Negative attitude
• lack of confidence.
• Pharmacist should strive to improve
their talking skill through practice.
29. Barrier of effective communication
Time barrier
• Time barrier is very common when it
comes to pharmacist and patient.
• Time are often excuses not to counsel
though it often does not take very long
time.
30. Patient counseling - a growing need in
chronic illness
Drug counseling points in Hypertension
31. Patient counseling - a growing need in
chronic illness
Drug counseling points in Diabetes
32. Patient counseling - a growing need in
chronic illness
Drug counseling points in coronary heart disease
33. Patient counseling - a growing need in
chronic illness
Drug counseling points in Asthma
34. Patient counseling - a growing need in
chronic illness
Drug counseling points in Epilepsy
35. Patient counseling - a growing need in
chronic illness
Drug counseling points in Dyslipidemia
36. Patient counseling - a growing need in
chronic illness
Drug counseling points for use of antibiotics
Antibiotic Resistance Pharmacist Role
Over prescription of drug Only prescribe and dispense antibiotics when they
are truly needed
Patient not finishing their treatment Prescribe right antibiotic at right dose for right
duration
Poor infection control in hospital and clinics Test to confirm whether the antibiotic is needed and
which one
Lack of hygiene and poor sanitation Prevent infection by proper hygiene and sanitation
Lack of new antibiotics being developed Keep your patients vaccination up to date
37. conclusion
• Pharmacists, being active members of the healthcare team can
play an important role in providing patient counseling so as to
improve patient compliance and hence the therapeutic outcomes
and quality of life.
38. conclusion
• Patient counseling by pharmacists also enables the doctors to
spend more time on examination and diagnosis the patients as
the counseling part is taken care of by the pharmacist.
• It also helps in many ways to improve the quality of healthcare
system with better patient care and therapeutic outcomes.